Adobe PDFMaker inactive in Outlook 2010 for certain user profiles

i have a end user who has Win 7 64 bit with Office 2010 32-bit and I loaded Adobe Acrobat XI Pro on his machine. All the other office applications add-ins work except for Outlook. The add-in is in the Inactive list and I cant do anything with it. If I log in as myself it works fine the add-in shows up in the Ribbon. I went and recreated his profile and it worked but I had to revert back to his old way cause when we recreated it it messed up his "Special government" certifacations in Internet Explorer. Ive tried uninstalling and reinstalling, als running the cleaner tool but it seems there is something in his profile that is causing it to be stuck in inactive. any thoughts would be appreciated.