The element titanium and the compound TiO₂ are found around the world, linked to other elements such as iron, in several kinds of rock and mineral sands (including a component of some beach sands). Titanium most commonly occurs as the mineral ilmenite (a titanium-iron oxide mineral) and sometimes as the mineral rutile, a form of TiO₂. These inert molecular compounds must be separated through a chemical process to create pure TiO2.

However, humans are not exposed to E171 in drinking water at any significant quantity over a long duration, so this potential effect is irrelevant to the human experience. It’s important to understand that a potential hazard is not the same thing as an actual risk.