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Worldwide, Itzal (Itzal ) is a very rare epicene given name. The first name Itzal is characteristic of Southern Europe, particularly Spain, where it is a very rare gender-neutral name. Very seldom, Itzal is the last name as well as the forename.
So, Arbide, Uchiha, Arteaga, Arzubia, Persaud, Kaltzado, Zengotitabengoa, and Gutiérrez-Barquín