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Sulphate process. The ilmenite is reacted with sulphuric acid giving titanium sulphate and ferric oxide. After separation of ferric oxide, addition of alkali allows precipitation of hydrous titanium dioxide. The washed precipitate is calcined in a rotary kiln to render titanium dioxide. The nucleation and calcination conditions determine the crystalline structure of titanium dioxide (e.g. rutile or anatase).

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.