Zotero not deleting existing number citations (in text) before adding new ones

I looked through the forum and couldn't see anything related to this - but apologies in advance if I missed a discussion...

I am using American Medical Association formatting for references and when I refresh the document (because I added one in higher up etc) zotero add's the new numbers along side the existing ones, meaning I have to go through and delete all the old ones!

Is there any fix for this? If it helps in diagnosing the issue, if I highlight an in-text citation and click on the 'Edit Citation' button it is not recognised as being one.

Operating on a Mac OS 10.13.3, Word for Mac 16.10 and Zotero 5.0.35.1.

Thanks in advance,

Ben
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