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.
Units of length. For measuring length, the U.S. customary system uses the inch, foot, yard, and mile, which are the only four customary length measurements in everyday use. Since July 1, 1959, these have been defined on the basis of 1 yard = 0.9144 meters except for some applications in surveying.