$$\frac{x+6}{x-6}\left(\frac{x-4}{x+4}\right)^2+\frac{x-6}{x+6}\left(\frac{x+9}{x-9}\right)^2<\frac{2x^2+72}{x^2-36}$$
I'm quite lost here, can't spot anything to start working from.
$$\frac{x+6}{x-6}\left(\frac{x-4}{x+4}\right)^2+\frac{x-6}{x+6}\left(\frac{x+9}{x-9}\right)^2<\frac{2x^2+72}{x^2-36}$$
I'm quite lost here, can't spot anything to start working from.
$$\frac{x+6}{x-6}\left(\frac{x-4}{x+4}\right)^2+\frac{x-6}{x+6}\left(\frac{x+9}{x-9}\right)^2=\frac{2(x^2+36)(x^4-71x^2+1296)}{(x-9)^2(x+4)^2(x-6)(x+6)}$$
Thus, we need to solve $$\frac{x^4-71x^2+1296}{(x-9)^2(x+4)^2(x-6)(x+6)}<\frac{1}{(x-6)(x+6)}$$ or $$\frac{x(5x^2-12x-180)}{(x-9)^2(x+4)^2(x-6)(x+6)}<0,$$ which gives the answer:
$x<-6$ or $\frac{6-6\sqrt{26}}{5}