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Digestive System Exposure 

As a food additive, titanium dioxide and its nanoparticles in particular have been associated with DNA damage and cell mutations, which in turn, have potential to cause cancer. When used as a food coloring, it is known as E171.

Chloride process. This process requires a high titanium feedstock. Rutile is reacted with hydrochloric acid to produce titanium tetrachloride, which can be hydrolyzed with steam or oxidized with air to render the dioxide. A rutile form of titanium dioxide is obtained.