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.

Having thus described the origin and uses of the pigment, we now come to the question, what is lithopone? It is, in short, a chemical compound usually consisting of 30.5 per cent zinc sulphide, 1.5 per cent zinc oxide and 68 per cent barium sulphate, but these proportions vary slightly in the different makes. Lithopone of this composition is sold as the highest grade, either as red seal or green seal, as it best suits the idea of the manufacturer. Many manufacturers, especially in Europe, sell and also export other brands under other seals, containing 24, 20, 18 and as little as 12 per cent of zinc sulphide with very small percentages of zinc oxide, the balance being usually barium sulphate, but sometimes certain portions of China clay or gypsum (calcium sulphate) or whiting (calcium carbonate). Such brands are not a chemical compound, but mechanical mixtures of the chemically compounded lithopone and the admixtures referred to.

Titanium dioxide has also been classified as a possible human carcinogen by the International Agency for Research on Cancer, which has caused concern about its use in food products. This classification, however, is currently based on limited evidence from animal studies that involved the inhalation of titanium dioxide particles that increased the risk of lung cancer.

Faber argued there hasn't been enough change in these federal regulations in the decades following the FDA's approval of titanium dioxide – especially as others increasingly point to potential health consequences.

For those wishing to limit or avoid exposure to titanium dioxide in foods, there are some steps you can take.