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I adore this name. However, Tammy just makes me think of a 1960s woman with a bouffant hairdo who thinks that women have to be nurses because they're not smart enough to be doctors, and also thinks of the nursing profession mainly as a means to snag a doctor, so even though I don't think Tamsin needs a nickname or always results in one, I'd still fear Tammy enough not to use Tamsin.