Hi. I've worked out why it is acting the way it is. When I delete the current selection and then select another option in the combobox the correct items then appear in the list box;

Consequently what I would like to do is when I select the Combobox the current selection is automatically removed so that the next selection has the correct items in the listbox. I think if this is not possible users would not know to delete the current selection in order for it to work correctly.
The items code is below. Basically it pulls in values from the SharePoint look up column and displays them correctly in the listbox.
With(
{
sizesString: Concat(
Gallery1_1.Selected.Dependencies,
Value,
" ,"
)
},
With(
{
sizesFormatted: Mid(
sizesString,
1,
Len(sizesString)
)
},
Split(
sizesFormatted,
","
)
)
)