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You need to bind them in FS2020 Controls Options.
Select CLSE MK II YOKE (or whatever you are using), then click in “Search by name” and type “trim”. Make sure FILTER is set to ALL. Scroll to the bottom of the list to find ELEVATOR TRIM DOWN (NOSE DOWN) and ELEVATOR TRIM UP (NOSE UP). Click on the empty grey box to bring up the binding dialog. Click in the top field with the Search icon. Press the desired button on the controller (e.g. the roller switch up). This should fill in the top box w/ e.g. [5]. Click Validate, then bind the other similarly.
Click Save profile at the bottom before you exit the control options page (though I think it’ll prompt you if you don’t).