I have done all of the standard trouble shooting listed for this trainer, and the trainer sorta works. When the game is starting I hit F1 and hear "trainer activated" but none of the hotkeys (numpad) do anything. If I alt-tab to the trainer then either hit the hotkey or click the button on the trainer, then they work.
How do I get the trainer to work without having to alt-tab in/out?
try running the game first till the point you can play, then alt tab to desktop and run the trainer as Admin, then back to the game and activate it.