For those wishing to limit or avoid exposure to titanium dioxide in foods, there are some steps you can take. 

Food additive or carcinogen? The growing list of chemicals banned in EU but used in US, by Mikaela Conley, The Guardian, June 23, 2022

Asia

Used for coloring paint, ink, rubber, etc. Inorganic white pigments are widely used as white pigments in plastics such as polyolefin, vinyl resin, ABS resin, polystyrene, polycarbonate, nylon and polyformaldehyde, as well as paints and inks. It is less effective in polyurethane and amino resins, and less suitable in fluoroplastics. It is also used for coloring rubber products, papermaking, varnished cloth, oilcloth, leather, watercolor paints, paper, enamel, etc. Used as an adhesive in the production of electric beads.

Although barium sulfate is almost completely inert, zinc sulfide degrades upon exposure to UV light, leading to darkening of the pigment. The severity of this UV reaction is dependent on a combination of two factors; how much zinc sulfide makes up the pigments formulation, and its total accumulated UV exposure. Depending on these factors Lithopone B301, Lithopone B311 powder itself may vary in shade over time, ranging from pure white all the way to grey or even black. To suppress this effect, a dopant might be used, like small amount of cobalt salts, which would be added to the formulation. This process creates cobalt-doped zinc sulfide. The cobalt salts help to stabilize zinc sulfide so it will not have as severe a reaction to UV exposure.

Titanium dioxide nanoparticles may accumulate and cause DNA damage

Conclusion

Of the two methods of extraction, the sulphate process is currently the most popular method of producing TiO₂ in the European Union, accounting for 70 percent of European sources. The remaining 30 percent is the result of the chloride process. On a global level, it is estimated about 40-45 percent of the world’s production is based on the chloride process.

According to data released by the China Coatings Industry Association, the total production of China's coatings industry has increased from 12.72 million tons in 2012 to 24.388 million tons in 2019, with a compound annual growth rate of 9.7%. Coatings, as an intermediate commodity, are closely related to downstream consumer markets such as the automotive industry, real estate, infrastructure, and home furnishings.

A  2023 study published in the journal Environmental Research, scientists examined the effect of titanium dioxide nanoparticles on important gut bacteria in mice. Their results showed “the growth inhibitory effects could be associated with cell membrane damage caused by titanium dioxide nanoparticles to the bacterial strains. Metabolomics analysis showed that TiO2 NPs caused alterations in multiple metabolic pathways of gut bacteria, such as tryptophan and arginine metabolism, which were demonstrated to play crucial roles in regulating gut and host health.” The researchers also found that four different neuroprotective metabolites “were significantly reduced” in urine and in vitro bacteria and vivo urine samples. The researchers concluded: “Increasing evidence implies that the gut microbiome plays a profound role in regulating host metabolism. Our results illustrated that TiO2 NPs hindered the growth of four beneficial gut bacterial strains.”