My Download/Upload speed is 32/22, yet my NAt is still moderate. Any advice? Should I be using an external wireless adapter instead of the internal one?
Try disconnect your Modem/Router and turn on your 360 and see if its still the same on the game you are playing.
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And post back your details in full (the bits that are in bold on that post) so that people may help
If you are wireless can you also state whether you are using the white or black external adapter or the Xbox 360S Internal adapter