The presence of so many lithopone factories in China has also led to advancements in production technology and quality control. Chinese manufacturers have invested heavily in research and development to improve the performance of their lithopone products, leading to higher quality and more consistent products on the market. This has helped to cement China's reputation as a leading producer of lithopone on the global stage.

However, it can cause photosensitivity, which is why it’s often combined with silica or alumina to prevent cell damage.

After oral ingestion, the absorption of titanium dioxide particles is low, however they can accumulate in the body, Maged Younes, chair of the European Food Safety Authority's expert Panel on Food Additives and Flavourings, said in a May 2021 statement.

Titanium dioxide nanoparticles may accumulate and cause DNA damage