Hi I am just starting a cleansing as well and the people I talked to told me that in most cases the parasites come out dead (if they weren't dead they could hardly be flushed out) but I guess that depends on the stuff that you ingest to kill them. Eating raw garlic and putting crushed raw garlic in your socks to get absorbed into the bloodstream (where a lot of them parasites dwell as well), pumpkin seeds and then of course the anthelmintic herbs will take care of that. The results, how they come out, I would think enemas are the best way, cause then you just flush it out like a waterfall, but thats just a guess.