I think they're talking about if your game is running live. Once it's up and running, it won't update the database in-game. If you reload the world.exe, then it should reload the database. Remember, if you restart the world.exe, you need to restart the zones also.
I could be wrong, but I think that's what they're talking about. You might be able to 'serialize' to reimport the items from the database while the game is running live.
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