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.
UÂ·nitÂ·ed States Customary System. The main system of weights and measures used in the United States and a few other countries. The system is based on the yard as a unit of length, the pound as a unit of weight, the gallon as a unit of liquid volume, and the bushel as a unit of dry volume. See Table at measurement.