I had the lifter valves adjusted for the first time after I bought my Insight just to be on the safe side, and so I could learn how to do it myself from watching. Even after 254K miles the valves were only slightly off spec.
Engine sounded almost the same after adjustment. Only a very slight reduction in "sewing machine" noise with all valves adjusted in spec.
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2013 Toyota Prius C 2 (my car)
2015 Mazda 3 iTouring Hatchback w/ Tech Package (wife's car)
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