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The European Food Safety Authority updated its safety assessment of the mineral in March 2020, stating that titanium dioxide can no longer be considered safe as a food additive. This was due to evidence of potentially harmful effects after consumption of the mineral, which may accumulate in the body over time.

In a small study published in the European Journal of Nutrition in 2020, researchers examined the effects of several food additives, including titanium dioxide, along with artificial sweeteners and cleaning products by testing the fecal samples of 13 people. Titanium dioxide was among the samples that “induced significant shifts in microbiome community structure.”  The growth of the bacterium species belonging to C. leptum, which has been shown to decrease in patients with inflammatory bowel disease, “significantly decreased in the presence of … titanium dioxide” among other additives and sweeteners tested.