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I pronounce Louise as loo-WEEZ and Louisa as loo-WEE-sa. I can force myself to try to separate the "loo" and "ee" sounds so there isn't a "w" in there when I say them aloud, but it isn't natural for me and I've always heard the "w" sound pronounced.

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These spellings look "right" to me, but I can deal with Luisa. I've never known anyone by either name.