Valve adjustment would be the LAST thing I'd suspect for a Pilot with 33k miles. Not impossible, if there were manufacturing defects, but I'd rule everything else out first. I'd also rule out all the before and after cat 02 sensors as defective, as both banks started throwing leans codes about the same time, and unlikely to have defective sensors in both banks--the PCM would likely set different codes for that anyway.
Probably not emissions related, as the PCM tests that in nuanced ways for defects/leaks. At least not something I'd chase unless I had related codes.
This needs to by systematically diagnosed; the lean P codes will create freeze frame data, where a good tech will have clues as to conditions both banks where at when they went out of fuel control (generally beyond +/- 25% short+long term fuel trim).
Depending on what they saw in the freeze frame, they might do a Wide Open Throttle run to see if both banks went deeply lean, and if the commanded and actual high pressure fuel rail tracked together. If no, it would merit further investigation of BOTH low and high pressure fuel pumps until the command and actual pressure tracked at various loads.
Otherwise, both banks setting lean codes could be a significant vacuum leak, a ducting leak after the MAF sensor caused by PCV or duct defect, calibration drift with the MAF or MAP, dirty MAF, EGR defect. Many EGR defects are caught by the PCM as excessive flow, commanded vs actual opening errors, etc.
A vacuum leak will often show up in freeze frame data as lean codes at idle or low throttle openings. Lean codes during cruising can be a PCV, EGR or fuel starvation, Lean codes set under heavy load almost always fuel starvation.
I wouldn't initially suspect injector failures, as both banks reported lean codes about same time, and you aren't getting misfire codes, right?
Not an exhaustive diagnosis flow, but a good start.
And I'd get after the dealer/tech who replaced parts that didn't fix it. You're paying for guesses.