Despite its many advantages, the production of lithopone is not without its challenges. The raw materials used to make lithopone, particularly zinc sulfide, can be expensive and difficult to source. In addition, the production process itself can be complex and energy-intensive, requiring specialized equipment and skilled workers to operate. As a result, lithopone manufacturers must carefully manage their operations to ensure they remain competitive in the market.

Other research suggests that E171 could cause harm; however, those research processes did not consider how people are typically 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.