VMware ESXi
VMware vCenter Server
This is the expected behavior of the Health Check feature.
The vSphere Distributed Switch Health Check uses the L2 echo-type protocol packets to probe the data path.
An alarm ("Not Supported") only triggers when there is an active risk of packet loss.
If the physical switch MTU is larger than the vSphere Distributed Switch MTU, packets originating from the vSphere Distributed Switch fit within the physical switch's limit, no packets are dropped, and the path remains healthy.
No configuration changes are required. Maintaining a physical switch MTU slightly larger than the vDS MTU is an industry best practice to allow overhead for VLAN tags and network headers.
To verify the alarm system is functioning: