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I used to know a big, sassy Jamaican named Althea. She was an interesting woman. It has definitely given me a specific snapshot of the name.

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I would stick with something a little unusual for its middle name; you have some great combos on your list. Some that I like would include:

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Althea Vivienne
Althea Celestine
Althea Marjorie
Althea Lettice
Althea Winifred (I don't particularly care for Winifred, but they work well together)
Althea Garance

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