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I really like Sapphire, largely because sapphire is my favourite gem stone, and I like gem stones in general. I also really like the sound.
I think it may get more attention in the US since it seems like gem stone names are liked right now, as are word names in general, sapphire has very rich symbolic meaning which I suppose would be a plus for many parents, and also it sounds like Sophia which is very popular.
I like your idea of Sapphire Elle most, when it comes to a middle name.
As for nicknames, yes, Saphi is nice, I also think that while Sophie would be a bit of a stretch perhaps, it could work for some people. I would also use Fifi.
I think I prefer the spelling Safira over Sapphira but both are amazing, and I think I prefer Safira even over Sapphire.

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Emilia Anna, proud and doting cat mummy to Russian blue Misha
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