[Clipper]

I'm fairly sure that a normal male (or a Half-Elf or Half-Halfling with only that one Race) would lose 1 level and a card. The word 'extra' doesn't mean you must already be losing a level to lose an additional one.

I'm not sure if the level loss for a Half-Halfling-Elf stacks or not. Monster combat bonuses for two different races definitely stack, regardless if they state they stack or not. However, the fact that males are given the 'extra' implies that the elf level loss is not extra and thus doesn't stack, you just take the worst one. Thus I agree with Eben's assessment.