Other research suggests that E171 could cause harm; however, those research processes did not consider how people are typically exposed to E171. Research that adds E171 to drinking water, utilizes direct injections, or gives research animals E171 through a feeding apparatus is not replicating typical human exposure. 

In June 2022, Health Canada weighed in on the debate, releasing a report on the safety of titanium dioxide. Their expert panel reviewed toxicity studies, including ones involving genetic damage. The expert panel found that previous studies used different forms and properties of titanium dioxide and deliberately broke the material into smaller particles than what you would normally see in food.

Fig. 6. AOPP measured on samples of MSSA with: A) 0.2 mg/mL P25TiO₂NPs; B) 0.02 mg/mL P25TiO₂NPs; C) 0.2 mg/mL VitaminB2@P25TiO₂NPs; D) 0.02 mg/mL VitaminB2@P25TiO₂NPs after 3 h of irradiation (red) and 6 h (blue). SD <1 (error bars too small to be seen) and p < 0.05 between C-D and A-B.

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