For a 2003 Honda Element, the water pump is typically recommended to be replaced every 60,000 to 100,000 miles, especially if you're also replacing the timing belt, as they are often done together. It's essential to check for any signs of leaks or unusual noises, which could indicate that the water pump needs attention sooner. Regular maintenance and inspection can help extend the life of the water pump. Always refer to the vehicle's owner's manual for specific recommendations.
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