From the KYB website: An empirical rule. If you are replacing front shocks/struts due to wear, we strongly recommend replacing the strut mounts as well. They weren't kidding. When removing the spring with the compressor, the left suspension strut support on my Honda pilot broke! See my photo of an old broken strut post. That's how bad my current cathedral bearings were. Even if there are no symptoms, these things dry and wear out over the years. Just replace them along with the shock absorbers/struts and save yourself the headache.
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