From what I understand its due to desync with the server.
Say you're sitting and you see a tick from 107 to 111 health. You stand up thinking you're good. But it was a desync tick. A second later the server does it's actual check. You were at 107, you're standing, you now gets a half tick putting you to 109.
Its frustating because its never the same. Sometimes you always see a real tick, sometimes its desyned and you get a fake tick before your real tick comes but you can use this to your advantage and sit down for a second so the real tick goes off while sitting.
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