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I pronounce it EE-oh. I think both it's Greek and Japanese form are lovely and usable. The shortness of it means it's a first name only for me.

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Io Hyacinthe
Io Elvira
Io Margalit
Io Émilienne
Io Nicolasa
Io Sylvestra
Io Thisbe
Io Undine
Io Atalanta
Io Marianthe