I would highly recommend to not use that setting it solves one problem and could introduce other, harder to debug problems. Especially if a load balancer or NAT

I would highly recommend to not use that setting it solves one problem and could introduce other, harder to debug problems. Especially if a load balancer or NAT is on the way. With this setting Linux no longer follows RFC and there is a risk that it could confuse packets from different connections. It falls back to tcp timestamp from PAWS, but often people disable timestamp as well.