I assume you’re talking about playing music from your phone over Bluetooth headphones or speakers, and how it sounds worse when you’re in a phone call as well, in which case the answer is pretty mundane: Bluetooth has a notion of “profiles” (basically, device types) for different purposes. There’s a profile for “headphones” intended for listening to music, and a different protocol for “headsets” intended for talking on the phone (with a microphone as well as audio playback). Most devices will switch from the former to the latter when you are in a phone call, and the latter has (for historical reasons) a much lower bit-rate–basically, it’s sending your headphones less data.
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