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Q: Replace Drive Belt Tensioner on 2004 Honda Pilot

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My 2004 Honda Pilot EX has 74,000 miles. I was told that my drive belt tensioner needed replacement b/c it vibrates when spinning therefore creating a high pitch sound. Should I have mechanic replace the tensioner and go ahead and replace timing belt water pump or should I have mechanic change the tensioner now and then change timing belt water pump at the recommended 105,000 miles?
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The owner's manual says to replace the timing belt at 7 years, so just by time alone you are due for the change.
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