Verifying whether the following can be spoofed (source).
Network Load Balancers use proxy protocol version 2 to send additional connection information such as the source and destination. Proxy protocol version 2 provides a binary encoding of the proxy protocol header. The load balancer prepends a proxy protocol header to the TCP data. It does not discard or overwrite any existing data, including any proxy protocol headers sent by the client or any other proxies, load balancers, or servers in the network path. Therefore, it is possible to receive more than one proxy protocol header. Also, if there is another network path to your targets outside of your Network Load Balancer, the first proxy protocol header might not be the one from your Network Load Balancer.