In a 2021, Chinese researchers examined the impact of E171 on lipid digestion and vitamin D3 bioaccessibility in a simulated human gastrointestinal tract model. They examined Vitamin D’s bioaccessibility, or the amount it was released in the gastrointestinal tract, becoming available for absorption, and found it “significantly decreased from 80% to 74%” with the addition of E171. In the experiment, E171 decreased lipid digestion dose-dependently. Researchers wrote: “The findings of this study enhance our understanding toward the potential impact of E171 on the nutritional attributes of foods for human digestion health.”  The study was published in the Journal of Agricultural and Food Chemistry, 

1. Sheet iron method

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According to the EFSA's Expert Panel on Food Additives and Flavorings 2021 opinion regarding titanium dioxide, it could not rule out a concern for genotoxicity from ingestion of the material based on a perceived gap in data on this risk, which serves as the basis for current ban, said a March report on the decision.

Cover power(contrast to the sample)

Separately, concerns have been raised about titanium dioxide impacting one's genetic code. This can be traced to a 2009 study which found that titanium dioxide nanoparticles caused DNA damage and genetic instability in mice. A 2022 study published in Food and Chemical Toxicology also raised concerns about the DNA-damaging effects of titanium dioxide as a food additive. The study noted that results evidenced a DNA-damaging effect, and added that there may also be impacts to chromosomal integrity, an indicator of cancer risk.