BetterTouchTool not launching at Startup Mac Big Sur

The BetterTouchTool ver 3.561 is not launching at startup on the Macbook Pro 2016, Big Sur 11.2.3
I have the Launch BetterTouchTool option selected in General, Basic settings and it is in the Login Items in User & Groups on the Mac. I have uninstalled and reinstalled it but it still doesn't launch at Start, any ideas for what I can try to get it launching at startup?
Thanks a lot

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