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Relative to a lot of other things that people should be concerned about, titanium dioxide in my mind, is really low on the list. I would be more worried about some substitutes that people are using for titanium dioxide that don't have decades of research associated with it, said Westerhoff.

The safety of the food additive E 171 was re-evaluated by the EFSA ANS Panel in 2016 in the frame of Regulation (EU) No 257/2010, as part of the re-evaluation programme for food additives authorised in the EU before 20 January 2009.  

2. Cosmetics With its UV-filtering properties, anatase TiO2 is a popular ingredient in sunscreens and cosmetic formulations. Its ability to scatter UV radiation effectively protects the skin from harmful sun exposure, contributing to the increasing popularity of natural and mineral makeup products.

It adds a bright white color to coffee creamers, baked goods, chewing gums, hard-shell candies, puddings, frostings, dressings, and sauces. But the nanoparticles found in “food-grade” titanium dioxide may accumulate in the body and cause DNA damage—which is one way chemicals cause cancer and other health problems. 

Overall, the use of titanium dioxide by manufacturers is essential for various industries, providing valuable properties and benefits for a wide range of products. As technology advances and new applications are discovered, the demand for titanium dioxide is expected to continue to grow. Manufacturers will need to adapt and innovate to meet the evolving needs of their customers while ensuring the safety and sustainability of their products.