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.
Common Metric Measures. The metric system is also divided into different categories of measurement, but it has a base unit for each category. A base unit means that that is what the category is usually (but not always) measured in, and all the other terms of measurement in that category are built from the base unit.