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The podcast examines the impact of over-the-counter (OTC) exchanges on the Bitcoin spot price, emphasizing the intricate relationship between buyers and sellers. Significant institutional demand has been observed, as large purchasers often wait for favorable market conditions rather than executing immediate buy orders, which can result in a lack of upward price movement despite perceived demand. An example provided is the German government selling 40,000 Bitcoin, which had been anticipated in the market, illustrating how large sales can be absorbed without a significant price drop. This behavior underlines the fact that while OTC transactions may not directly influence the spot price in the short term, they play a crucial role in the overall market dynamics.