In case you didn't try, my first time I always start Tweaker, enable Item Translator, let it download, close Tweaker, reopen Tweaker, let it finish, start game. Try that exact sequence of events. I have often had item translator not work when I just re-enabled it without restarting the Tweaker.
Is nothing translated? You tried pressing the keys to disable and enable it (CTRL+F1 and F2, I think, not sure)
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