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Titanium dioxide is widely used as a color-enhancer in cosmetic and over-the-counter products like lipsticks, sunscreens, toothpaste, creams, and powders. It’s usually found as nano-titanium dioxide, which is much smaller than the food-grade version (7Trusted Source).

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Variations of titanium dioxide are added to enhance the whiteness of paint, plastics, and paper products, though these variations differ from the food-grade ones for things we eat (1Trusted Source, 2Trusted Source).

TiO₂ NPs appeared to be more toxic to nematode Caenorhabditis elegans than submicron-sized TiO_2.  At a concentration of 1 mg/l, 7 nm particles affected its fertility and survival rate and were more toxic than 20 nm anatase particles. Similarly, Hu et al. showed that rutile particles (10–20 nm), at concentrations above 1 g/kg soil, can be bio-accumulated in earthworms, where they induce oxidative stress, inhibit the activity of cellulase and induce DNA and mitochondrial damage.

Following the EU’s ban on E171, the FDA told the Guardian that, based on current evidence, titanium dioxide as a food additive is safe.  “The available safety studies do not demonstrate safety concerns connected to the use of titanium dioxide as a color additive.”