What version of the operating system are you using and what version of Perl are you using?
You need to install make and have a compiler. I am surprised you did not have them but I do not know anything about Macs so maybe you have to install some developers package?
There are Windows binaries but it is better to use the non-binary version since then you can get updates faster. The release of the binary version depends on my willingness to boot my laptop to Windows...
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