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Julia always seems kind of sad and too often becomes Jules. Giulia is refreshing. I don't think it needs an Italian middle name but it's simple enough that it won't look too over the top, and if it suits your surname then why not go all out?

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I like:
Giulia Agostina
Giulia Dorothea
Giulia Ginevra - not keen on Ginevra, but the alliteration is too good to pass on.
Giulia Ingrid
Giulia Marguerite
Giulia Ottoline - my favourite
Giulia Verena
Giulia Winifred