Lyric discussion by complete_loner 

Cover art for Needles lyrics by System of a Down

i reckon this song is about drug addiction, but using the metaphor of a tapeworm. the part where he says pull the tapeworm out of your ass is saying to get off drugs and leave the addictions. the bit that daron sings by himself is about how his using of drugs is accelarating his journey to old age and death - the drugs are killing you, so you should pull the tapeworm out of your ass. Hey!