For those wishing to limit or avoid exposure to titanium dioxide in foods, there are some steps you can take. 

People eating lots of candy should be more worried about the sugar and how it can cause high blood pressure and obesity, says Westerhoff.

Titanium Dioxide is largely produced by the reduction of titanium tetrachloride, obtained in turn from chlorination of natural rutile, synthetic rutile derived from ilmenite or even slags rich in TiO2 produced by metallurgical treatment of ilmenite. TiO2 is also manufactured by treatment of ilmenite with sulfuric acid. Raw materials and the respective production processes employed in the manufacturing of Titanium Dioxide are listed below.

“Unlike some other chemicals used in food, titanium dioxide has no nutritive, preservative, or food safety function—its use is purely cosmetic,” said CSPI principal scientist for additives and supplements, Thomas Galligan. “The prospect of titanium dioxide nanoparticles damaging DNA is concerning enough for us to recommend consumers avoid foods that have it.” 

Mexican researchers sought to evaluate the effects of E171 across a span of conditions in mice, including its influence on behavior, along with the effects on the colon and liver. The research, published in 2020 in the journal Food and Chemical Toxicology, showed that E171 promoted anxiety and induced adenomas, or noncancerous tumors, in the colon. They also found that E171 heightened goblet cells hypertrophy and hyperplasia, which is typically seen in asthma patients and triggered by smoking or external pollutants and toxins. They also noted mucins overexpression in the mice, which can be linked to cancer cell formation.