Word 365 add in not working

Have not ever faced this problem and nothing seems to be working, so wondering if it is a new issue. My zotero add on in Word (from the Office 365) will not show up. I followed the instructions to get to the .dotm file and if I click that, a new document opens and I need to enable macros and it works. If I close it, off that goes with it. Open an old file from sharepoint, no zotero.

I have tried enabling all macros from the trust centre to no luck. Any help massively appreciated. Thanks!
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