Titanium dioxide is the most widely used whitening pigment in the world and has been linked to adverse health effects, particularly genotoxicity and intestinal inflammation. It is applied as food coloring and a whitening agent to a wide variety of foods, including chewing gum, cakes, candies, breads and ice cream. 

Developing new Lithopone formulations, one that enhances the properties of the existing Lithopone is anticipated to boost the demand for Lithopone white pigment during the forecast period. Reinforced Lithopone is one such development, wherein a copolymer is added to the polymerization reaction to yield Lithopone with an increased weather resistance and an anti-ultraviolet property. Moreover, development of nano-scale Lithopone is also anticipated to attract market interest during the forecast period.

Animal studies have shown that, when consumed as a food additive, titanium dioxide can induce intestinal inflammation.

We’re most often exposed to E171 through the foods we ingest. We find E171 in many food products, like popsicles, ice cream, gum, and more. Another way we ingest E171 is through pharmaceutical drugs. Many pills and capsules contain E171 as an inactive ingredient.  

It's also added directly to food; mainly for coloring, but also as a thickener and to keep some powdered food, like confectioner's sugar, from clumping.