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.

Ultimately, most experts advise moderation, as titanium dioxide is typically found in processed foods that come with their own health risks.

In summary, the Food Directorate's position is that there is no conclusive scientific evidence that the food additive TiO₂ is a concern for human health. This is based on a review of the available scientific data relevant to food uses of TiO₂. However, we will continue to monitor the emerging science on the safety of TiO₂ as a food additive and may revisit our position if new scientific information becomes available.

A significant body of research, mostly from rodent models and in vitro studies, has linked titanium dioxide with health risks related to the gut, including intestinal inflammation, alterations to the gut microbiota, and more. It is classified by the International Agency for Research on Cancer (IARC) in Group 2B, as possibly carcinogenic to humans.