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This is a great name, very unique!
In modern English it would be spelt and pronounced Alfhigh.
I'll admit that the meaning of "elf high" is a little bit weird to say the least. Furthermore, I find it unspellable and quite possibly unpronouncable.
A kid named ... I'm not even going to try to type it ... would definitely have trouble in school when there was a substitute teacher. Don't you remember how it felt when they couldn't pronounce your last name? A kid named ____ would have issues with their first name, too.

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