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lots of coins can only be purchased with Bitcoin ... It's the daddy :)
But a growing number can now be purchased with Ether

Can I get PIVX with ETH?

you can always sell the ETH for BTC and buy whichever currency you want on bittrex.

Yeah I want to avoid BTC fees and transactions times if possible

you dont need to wait on bittrex :)

Oh right I get it but I need to get my Bitcoin onto bittrex as I use Coinbase atm so will need to deposit into bittrex thanks dude

thats the whole point of n exchange

On some exchanges yes. But every exchange offers different options. You can trade anything for BTC and then buy what you want with that

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