The key difference between T-SQL and Win32 Filestream access is the way the data is sent to the client — using T-SQL to retrieve Filestream data means that the storage engine must open the file in NTFS, transfer the data back through the SQL engine and through TDS (the standard way to transfer data SQL) back to the client. When using Win32, the storage mechanism is still in the way during the open file operation, but once this is completed, data can be transferred directly from the file to the client using Win32 streaming, completely bypassing the SQL mechanism.
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