My 1st repair was the valve cover, 2nd was new driver side lifters, ring decarburization, and deflector, and most likely the 3rd will be pistons, rings, and all lifters. Or at least that's what they told me on the last repair. The reason I mentioned the mileage, is because I feel that they are just replacing parts in an attempt to fix it without knowing the root cause. And until they identify the root cause, and fix things accordingly, the problem will only return. At each of my first 2 repairs, the issue stopped, but only for a short period. Therefore, I feel the problem will come back, no matter how many parts they replace. What is the "damage" you are referring to?