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I think that very few people in general, in any area or from any socio-economic class, give twins themey names or names that are too similar. I think that the vast majority realize that it is silly, that if they do so they and their twins will encounter a large amount of eye-rolling throughout their lives, and they know that twins need a sense of their separate identities, which themey and similar names would be an obstacle to.

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In my example, only Mary Kate and Mary Beth, and Lamar and Lamont, were themey and too similar. I always rolled my eyes at Mary Kate and Mary Beth. Lamar and Lamont are not quite as bad. But in my experience, those kind of twin names are in a small minority.