But in 2021, EFSA reevaluated titanium dioxide to consider the impacts of its nanoparticle. After considering more studies, EFSA concluded that nanoparticle-size titanium dioxide can accumulate in the body, break DNA strands and cause chromosomal damage.

Titanium can sometimes be detected by metal detectors. Whether a particular metal detector can detect titanium depends on the sensitivity and discrimination factors of that metal detector.

In a small study published in the European Journal of Nutrition in 2020, researchers examined the effects of several food additives, including titanium dioxide, along with artificial sweeteners and cleaning products by testing the fecal samples of 13 people. Titanium dioxide was among the samples that “induced significant shifts in microbiome community structure.”  The growth of the bacterium species belonging to C. leptum, which has been shown to decrease in patients with inflammatory bowel disease, “significantly decreased in the presence of … titanium dioxide” among other additives and sweeteners tested.

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