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Bitcoin->USD/any other real currency->car/beer/milk/microwave/house/coke

That's what "cashing out/in" means. Converting your investment into necessity, want or vice. No one desires investment vehicles. They desire using the investment vehicle to purchase a future item they can use.

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With the important distinction that most investment vehicles represent tangible ownership (of equity in a company, of a debt obligation, of real estate, etc.)

Bitcoin exists primarily as something people buy in order to hopefully sell to someone else, all with the underlying value intangible and arguably nonexistent beyond scarcity.

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