Dear Mgoodin,
according to your last answer, I ´ll try to help you besides Leanne.
At first I need some infos about your operating system (O.S) e.g. 32 Bit or 64 Bit.
Are you using Windows 8.xx or Windows 10 (home or pro) or MAC (What a kind)?
Are you using MS Word 2007 with SP3 patch or MS Word 2010 or Office 365 …?
Have you read the EN X9 Guided Tour Windows?
Please read and test the part “save the References” page 22 and page 26-27 for PubMed references.
Have you created a new permanent library? I created a new library too but I test old libraries too.
I inserted an old library for my test and it is working well (see picture).
Can you send me a picture of your EN X9 and Word like mine?
Thank you in advance and good luck.
TRENSOFTY