Some people have concerns about the safety of titanium dioxide because of reports linking it to cancer.

Lithopone is a white pigment that is commonly used in a variety of industries, including the paint, plastic, and rubber industries. With 30% of the world's lithopone factories located in China, the country plays a significant role in the production and supply of this important chemical compound.

Titanium dioxide is a food additive that can be found in over 3,000 different products in EWG’s Food Scores database.

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French researchers studied how and where E171 nanoparticles enter the bloodstream, first studying the route through pigs and then in vitro with human buccal cells, for a 2023 study published in the journal Nanotoxicology. The research showed that the nanoparticles absorbed quickly through the mouth and then into the bloodstream, before damaging DNA and hindering cell regeneration.

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.

Titanium dioxide as used in sunscreens is commonly modified with other ingredients to ensure efficacy and stability. Examples of what are known as surface modifier ingredients used for titanium dioxide include stearic acid, isostearic acid, polyhydroxystearic acid, and dimethicone/methicone copolymer.

Digestive System Exposure 

The pigment’s low Mohs hardness produces low abrasion compared to TiO2.

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