When E171 is part of a food product, it passes through the digestive system without causing harm because E171 combines with the other ingredients. 

CSPI’s Chemical Cuisine is the web’s definitive rating of the chemicals used to preserve foods and affect their taste, texture, or appearance. Besides titanium dioxide, the group recommends avoiding artificial sweeteners like aspartame, acesulfame potassium, and sucralose, as well as synthetic food dyes like Yellow 5 and Red 3. CSPI and others have recently asked the Food and Drug Administration to ban the latter dye in foods and ingested drugs because the FDA has already determined that it is a carcinogen unsafe for use in cosmetics.

Mars Wrigley, the company that makes Skittles, is being sued by a California man who claims the candy contains a known toxin that poses such a serious health risk that Skittles are unfit for human consumption.

Background 

In beauty and personal care products, the ingredient is listed with its colour index (CI) number ‘CI 77891’. When nano grade titanium dioxide is used in our sunscreens, this is referenced as ‘titanium dioxide’ [nano] in the ingredients list.