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It's on my excel list. I have always liked Hepzibah, and loved that Hepsie was the go-to nickname. I think both are usable to be honest. Hepsie is, as you said, just as quirky and dated as Effie and Essie... which no one would bat an eye at.

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The hepatitis thing COULD be brought up, but in my experience there is something negative to point out about every name.