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I definitely agree with Sam Alexis sounding feminine - to most, the first thing that comes to mind when someone says Alexis is that it's a girl's name, because it's so widely used on girls. I like Alexis but I hate the name Sam and Samantha.

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Though I agree on the above, I somewhat agree with eliminating the middle man. I think if it's a case where her name is Katherine and you want to call her Katie, that's different, but Sam Alexis just doesn't sound right, in my opinion. But then again, maybe they hated the name Samantha but loved the name Sam. Never know.