In a macrocytic anemia, the larger red cells are always associated with insufficient numbers of cells and often also insufficient hemoglobin content per cell. Both of these factors work to the opposite effect of larger cell size, to finally result in a total blood hemoglobin concentration that is less than normal (i.e., anemia).
In American English, a ton is a unit of measurement equaling 2,000 pounds. In non-U.S. measurements, a ton equals 2,240 pounds. A tonne, also known as a metric ton, is a unit of mass equaling 1,000 kilograms. American English speakers generally have no use for tonne, so the spelling rarely appears in U.S. publications.
In the metric system, each basic type of measurement (length, weight, capacity) has one basic unit of measure (meter, gram, liter). Conversions are quickly made by multiplying or dividing by factors of 10. It is as simple as moving the decimal point to the right (for smaller prefixes) or to the left (for larger prefixes).