Hi Dolores,
Yes, Esselstyn absolutely uses statins, niacin and any appropriate medication for all of his patients, except Dr. Joe Crowe (the dramatic reversal angiograms), who refused statins. Dr. Fuhrman also prescribes statins, niacin, etc for his patients. The goal is to improve the health to wean off the medications. Dr. Ornish did not use statins in his publication demonstrating reversal of atherosclerosis, in 1990. Statins were quite new then. I would assume that Dr. Ornish does prescribe statins for his patients today, as required.
The Pritikin Center has published that their patients who arrived on statins, with 20% average cholesterol reduction from the statins, lowered cholesterol an average of an additional 19%.
It is true that lifestyle is much more effective than medications, by any reasonable yardstick. However, this is not a competition. People should use both, and reduce dosage in time, and eventually stop the medication, if appropriate. Some people's heredity mean that they cannot discontinue medication.
My own LDL is above 100some of the time, and HDL below 40. I'm repeating the IMT test, to see if my atherosclerosis is continuing to reverse. If not, I'll have to cut down my occasional cheating, and consider taking niacin, which is ideally suited to familial lipid profile B. This is high LDL, mostly the worst small dense LDL, and low HDL, mostly the one bad HDL, the small dense HDL. Wish me luck !!
At social occasions, I continue to fail to break the diet in moderation. Hey, you have to laugh at us pathetic creatures.
Advice to folks is to continue statins, etc, while improving lifestyle, and reduce the dosage as blood tests or IMT results suggest.
Best regards, EngineerGuy