In food, titanium dioxide is often used as an artificial color additive. Tasha Stoiber, senior scientist at the consumer health nonprofit Environmental Working Group, says titanium dioxide can generally be thought of as a paint primer – it often goes on a hard-shelled candy like Skittles before the color is added to give it a uniform shine.

In a 2022 study published in the Journal of Hazardous Materials, scientists wanted to examine the effects of titanium dioxide as a food additive on atherosclerosis in mice. (Atherosclerosis refers to a hardening of the arteries.) Researchers fed mice 40 mg/kg of the food additive every day for 4 months, and found that it not only altered gut microbiota but also led to a significantly increased atherosclerotic lesion area, especially in animals that consumed a high-choline western diet (HCD).

There are two primary forms of titanium dioxide commercially available: anatase and rutile. The rutile form is typically used in sunscreens due to its superior ability to handle UV rays and stability in the presence of UV light. The anatase form is typically used in other types of products, such as paint. Another plus of the rutile form is that its UVA protection extends past 400 nanometers, which is the upper limit of UVA.