Overall, the Food Directorate's comprehensive review of the available science of TiO₂ as a food additive showed:

CSPI’s Chemical Cuisine is the web’s definitive rating of the chemicals used to preserve foods and affect their taste, texture, or appearance. Besides titanium dioxide, the group recommends avoiding artificial sweeteners like aspartame, acesulfame potassium, and sucralose, as well as synthetic food dyes like Yellow 5 and Red 3. CSPI and others have recently asked the Food and Drug Administration to ban the latter dye in foods and ingested drugs because the FDA has already determined that it is a carcinogen unsafe for use in cosmetics.

It is suitable as an alternative to titanium dioxide when higher acid resistance is required, such as in adhesive joints and sealants. 

‌If you're curious about whether something you’re eating contains titanium dioxide, you can check the ingredients list. But know that the FDA doesn’t require food makers to use its chemical name on an ingredients list. Instead, it could be listed as:

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).

Lithopone supplier: Synthesis method of lithopone

Lithopone 30% CAS No. 1345-05-7 / Application

The properties of lithopone are very suitable for use in the production of coatings. Because the ingredients of lithopone are zinc sulfide and barium sulfate, and the more zinc sulfide content, the stronger its covering power. This indicates a paint product with strong white covering power. It is different from water in that it reacts with acid but does not react with alkali. It has a wide range of uses. Because its structural properties are similar to titanium dioxide and its price is relatively cheap, it can also be used as a substitute for some titanium dioxide. Lithopone can be used for coloring paints, inks, pigments, rubber, paper, leather, enamel, etc.

For his part, Kaminski argues most of the studies have been in animals, and any effects found were minuscule. He and his team also contested some of the findings in a 2019 study that found no evidence of increased inflammation or changes in the GI tract.

Total zinc and barium sulphate