In an NSX environment configured for one-arm load balancing where the Virtual Server is hosted on a T1 with a service interface uplink using the same IP as the virtual server you may observe:
This issue occurs because the IP address used for the T1 Uplink (and the Virtual Server) is duplicated on multiple Tier-1 Gateways. This causes return traffic from the pool members to be routed inconsistently; traffic may reach the correct T1 or be sent to an incorrect T1 that does not have the active LB session, leading to a dropped connection and subsequent failed healthcheck and or LB session flow.
To resolve this issue, you must ensure that no duplicate IPs exist within the return path.
This is not an issue specific to NSX and IPs should not be duplicated within a network. However the above describes a specific symptom and quick verification method if the error is observed.