Welp, my 2003 Element's valves are very noisey again. Bought the car from the original owner in excellent condition w/107K on the clock. Engine was completely quiet and smooth, but decided to have the local Honda dealer adjust the valves, as it had never been done. Mistake. They ticked from the day I picked it up from the dealer, and when I contacted them about it, they said it was fine, and not to worry about it. A month later, we had moved to a rural town in another state. Over the next 5K miles, the valves got noisier. No Honda dealer for almost 100 miles, so I had a local shop re-adjust them. They said the valves were loose, a couple excessively so. After that adjustment, the valves were quieter, but not completely so, like when I bought the car. Another 5K miles on the clock now (118K total), the valves are making way too much noise again. Going to drive the ~100 miles to a dealer, rent a car, and let them try another adjustment. Hope it works. Otherwise I'll be looking at installing a remanufactured head at the dealer. Ugh. I should have left the valves alone in the first place!