In short, no, research demonstrates that E171 is safe when consumed in normal situations.

Moreover, how we're exposed to an ingredient matters significantly in terms of our health and potential toxicity.   

Research shows that inhaling titanium dioxide particles in significant quantities over time can cause adverse health outcomes. Unless you work in an industrial setting, inhaling substantial amounts of titanium dioxide is highly unlikely. 

Research supports that applying titanium dioxide to the skin in the form of sunscreens, makeup, and other topical products does not pose a health risk. 

Overwhelmingly, research that's relevant to human exposure shows us that E171 is safe when ingested normally through foods and drugs (1,2).

Again, other research suggests that E171 could cause harm; however, those research processes did not design their studies to model how people are 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, which occurs through food and medicine consumption.

Read more in-depth about the titanium dioxide risk at go.msu.edu/8Dp5. 

CSPI says it might reconsider its rating if specifications for food-grade titanium dioxide in the U.S. are updated to ensure nanoparticles are minimized, and new studies are conducted to assess its capacity to cause cancer or other health problems. 

Another vital aspect to consider when working with a lithopone pigment pricelist is the effect of quality on pricing. Higher purity pigments generally command a premium price because of their enhanced performance characteristics. When choosing a supplier, it’s essential to look for manufacturers who adhere to strict quality control standards. This ensures that the pigment not only meets industry standards but also performs reliably in various applications, thus justifying any additional costs.

In recent years, there has been a growing focus on sustainability and environmental responsibility in the manufacturing industry. Titanium dioxide manufacturers are no exception, with many companies implementing eco-friendly practices to minimize their impact on the environment. This includes reducing energy consumption, implementing recycling programs, and exploring alternative production methods that are more environmentally friendly.