According to the [Tableau Desktop Specialist Exam Guide], an incremental refresh only adds rows that are new, based on a specified column and value. A full refresh replaces all the extracted data with the data in the underlying data source. A full refresh is usually very slow, especially for large extracts. An incremental refresh can take less time, depending on how many new rows are added. A full refresh does not need to be configured, it is the default option for extracts in Tableau. An incremental refresh can be run from both Tableau Desktop and Tableau Server.
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