Food Additives: What's Really in Your Food

Visualization of Food Additives environmental source
Visualization of Food Additives environmental source.
Microscopic view of Food Additives cellular damage
Microscopic view of Food Additives cellular damage.
Anatomical illustration of organs affected by Food Additives exposure
Anatomical illustration of organs affected by Food Additives exposure.

Table of Contents

  1. Categories of Food Additives
  2. The GRAS Pathway: How Substances Enter Food Without FDA Review
  3. Impact on the Gut Microbiome
  4. Cumulative Exposure
  5. Children's Vulnerability
  6. US and EU Regulation Compared
  7. Reading Labels: What They Show and What They Miss
  8. Specific Food Additives of Concern
  9. The Bottom Line
  10. Key Research Papers
  11. Connections
  12. Featured Videos

The modern food supply contains thousands of substances added during processing, from preservatives that extend shelf life to emulsifiers that improve texture. Some are well studied and considered harmless; for others the published safety data are thin. A 2013 analysis found that fewer than 38% of FDA-regulated food additives had a published feeding study, and that for chemicals added directly to food, 6.7% had reproductive or developmental toxicity data in FDA's database (Neltner 2013, Reproductive Toxicology). Individual additives have been studied for links to cancer, hormonal effects, behaviour in children and gut inflammation, with evidence that ranges from human trials to animal and cell studies only.

This page describes the main categories of additives, how they enter the US food supply, and what regulators and researchers report about their safety.

Categories of Food Additives

Food additives fall into several broad categories, each serving a different function in food manufacturing. A 2011 review of the US food additive program counted more than 10,000 substances allowed in human food (Neltner 2011).

Preservatives

Emulsifiers

Thickeners and Stabilizers

Flavor Enhancers

Texture Modifiers and Dough Conditioners

The GRAS Pathway: How Substances Enter Food Without FDA Review

The 1958 Food Additives Amendment requires pre-market approval for new food additives but exempts substances that qualified experts consider “generally recognized as safe” (GRAS) for their intended use — originally substances with a long history of use, such as vinegar or baking soda. Critics, including the US Government Accountability Office (GAO) in 2010 and the American Academy of Pediatrics (AAP) in 2018, describe this exemption as a gap in oversight; a 2011 review found that manufacturers and a trade association, rather than federal agencies, made the safety decisions for many substances now in food, by concluding they were GRAS, without FDA review (Neltner 2011).

How the GRAS System Works

Substances Later Found Not to Be GRAS

Impact on the Gut Microbiome

Research since the mid-2010s has examined whether common food additives alter the gut microbiome — the community of bacteria that plays a role in digestion, immune function and metabolism. Most of the evidence comes from animal and laboratory studies; human data are limited.

Cumulative Exposure

Chemical risk assessment is typically based on the toxicity of one chemical at a time. A 2015 review identified more than 300 chemicals allowed in food that may have potential harmful effects on the developing brain, and noted that the laws regulating additives in Europe and the USA already require regulators to consider cumulative effects, a mandate the authors judged had so far been neglected (Maffini 2015).

Children's Vulnerability

A 2018 policy statement from the American Academy of Pediatrics (AAP) states that, while data about health effects of food additives on infants and children are limited or missing, infants and children are in general more vulnerable to chemical exposures. It describes current GRAS requirements as insufficient to ensure the safety of food additives and calls for substantial, urgently needed improvements, including strengthening or replacing the GRAS process and retesting previously approved chemicals (Trasande 2018).

US and EU Regulation Compared

The United States and the European Union regulate some food additives differently. EU general food law writes in a precautionary principle that allows provisional restrictions when harmful effects on health are possible but scientific uncertainty persists. US law also requires pre-market approval for new food additives, but GRAS substances can enter food without FDA review, and withdrawing an existing approval requires a formal rule or order and has often taken years.

Substances Treated Differently in the EU and the US

Explanations Critics Offer

Reading Labels: What They Show and What They Miss

Much of what is known about the additives in a given food comes from its label. The points below describe what US labels disclose, what they leave out, and where additives tend to appear.

Specific Food Additives of Concern

The following pages cover in depth several additives whose status has been debated or changed by regulators:

The Bottom Line

Critics of the US system, including GAO (2010) and the American Academy of Pediatrics (2018), report that companies can determine substances to be GRAS without FDA review, that many chemicals allowed in food lack the feeding studies needed to estimate a safe level of exposure (Neltner 2013), and that FDA lacks adequate authority to reassess substances already on the market. FDA’s proposed rule of August 2026 would require GRAS notices to be submitted.

Several additives have changed status since 2023: partially hydrogenated oils were removed from FDA regulations (2023), brominated vegetable oil was revoked (2024), Red No. 3 was revoked (effective in food 15 January 2027), and BHA and azodicarbonamide are under FDA post-market review. Legal status in the US food supply reflects a regulatory decision under US law; regulators elsewhere have weighed the same data differently.

Key Research Papers

  1. Neltner TG, Kulkarni NR, Alger HM, et al. (2011). Navigating the U.S. food additive regulatory program. Comprehensive Reviews in Food Science and Food Safety 10(6):342-368 — doi:10.1111/j.1541-4337.2011.00166.x
  2. Neltner TG, Alger HM, O'Reilly JT, et al. (2013). Conflicts of interest in approvals of additives to food determined to be generally recognized as safe: out of balance. JAMA Internal Medicine 173(22):2032-2036 — PubMed PMID: 23925593
  3. Neltner TG, Alger HM, Leonard JE, Maffini MV (2013). Data gaps in toxicity testing of chemicals allowed in food in the United States. Reproductive Toxicology 42:85-94 — PubMed PMID: 23954440
  4. Maffini MV, Neltner TG (2015). Brain drain: the cost of neglected responsibilities in evaluating cumulative effects of environmental chemicals. Journal of Epidemiology and Community Health 69(5):496-499 — PubMed PMID: 25336676
  5. Trasande L, Shaffer RM, Sathyanarayana S; Council on Environmental Health (2018). Food additives and child health (policy statement). Pediatrics 142(2):e20181408 — PubMed PMID: 30037974
  6. Trasande L, Shaffer RM, Sathyanarayana S; Council on Environmental Health (2018). Food additives and child health (technical report). Pediatrics 142(2):e20181410 — PubMed PMID: 30037972
  7. Bouvard V, Loomis D, Guyton KZ, et al. (2015). Carcinogenicity of consumption of red and processed meat. The Lancet Oncology 16(16):1599-1600 — PubMed PMID: 26514947
  8. Vally H, Misso NL, Madan V (2009). Clinical effects of sulphite additives. Clinical and Experimental Allergy 39(11):1643-1651 — PubMed PMID: 19775253
  9. National Toxicology Program (1997). Toxicology and carcinogenesis studies of t-butylhydroquinone in F344/N rats and B6C3F1 mice (feed studies). NTP Technical Report Series 459:1-326 — PubMed PMID: 12587017
  10. Chassaing B, Koren O, Goodrich JK, et al. (2015). Dietary emulsifiers impact the mouse gut microbiota promoting colitis and metabolic syndrome. Nature 519(7541):92-96 (erratum 2016) — PubMed PMID: 25731162
  11. Tobacman JK (2001). Review of harmful gastrointestinal effects of carrageenan in animal experiments. Environmental Health Perspectives 109(10):983-994 — PubMed PMID: 11675262
  12. Suez J, Korem T, Zeevi D, et al. (2014). Artificial sweeteners induce glucose intolerance by altering the gut microbiota. Nature 514(7521):181-186 — PubMed PMID: 25231862
  13. Suez J, Cohen Y, Valdés-Mas R, et al. (2022). Personalized microbiome-driven effects of non-nutritive sweeteners on human glucose tolerance. Cell 185(18):3307-3328 — PubMed PMID: 35987213
  14. Riboli E, Beland FA, Lachenmeier DW, et al. (2023). Carcinogenicity of aspartame, methyleugenol, and isoeugenol. The Lancet Oncology 24(8):848-850 — PubMed PMID: 37454664
  15. Irwin SV, Fisher P, Graham E, et al. (2017). Sulfites inhibit the growth of four species of beneficial gut bacteria at concentrations regarded as safe for food. PLoS One 12(10):e0186629 — PubMed PMID: 29045472
  16. Woodling KA, Chitranshi P, Jacob CC, et al. (2022). Toxicological evaluation of brominated vegetable oil in Sprague Dawley rats. Food and Chemical Toxicology 165:113137 — PubMed PMID: 35588981
  17. Bettini S, Boutet-Robinet E, Cartier C, et al. (2017). Food-grade TiO2 impairs intestinal and systemic immune homeostasis, initiates preneoplastic lesions and promotes aberrant crypt development in the rat colon. Scientific Reports 7:40373 — PubMed PMID: 28106049
  18. EFSA Panel on Food Additives and Flavourings (FAF), Younes M, Aquilina G, Castle L, et al. (2021). Safety assessment of titanium dioxide (E171) as a food additive. EFSA Journal 19(5):e06585 — PubMed PMID: 33976718
  19. Cornu R, Béduneau A, Martin H (2022). Ingestion of titanium dioxide nanoparticles: a definite health risk for consumers and their progeny. Archives of Toxicology 96(10):2655-2686 — PubMed PMID: 35895099
  20. McCann D, Barrett A, Cooper A, et al. (2007). Food additives and hyperactive behaviour in 3-year-old and 8/9-year-old children in the community: a randomised, double-blinded, placebo-controlled trial. The Lancet 370(9598):1560-1567 — PubMed PMID: 17825405

Regulatory Documents and Agency Sources

  1. US Government Accountability Office (2010). Food Safety: FDA Should Strengthen Its Oversight of Food Ingredients Determined to Be Generally Recognized as Safe (GRAS). GAO-10-246 — GAO-10-246
  2. FDA (2015). Final Determination Regarding Partially Hydrogenated Oils. 80 FR 34650, 17 June 2015 — Federal Register
  3. FDA (2023). Revocation of Uses of Partially Hydrogenated Oils in Foods. 88 FR 53764, 9 August 2023 — Federal Register
  4. FDA (2024). Revocation of Authorization for Use of Brominated Vegetable Oil in Food. Final rule, 89 FR 55040, 3 July 2024 — Federal Register
  5. FDA (2026). Substances Generally Recognized as Safe. Proposed rule, 91 FR 51834, 11 August 2026 — Federal Register
  6. FDA (2026). Butylated Hydroxyanisole (BHA); Request for Information. 91 FR 6227, 11 February 2026 — Federal Register
  7. FDA. Questions and Answers on Monosodium Glutamate (MSG) — FDA
  8. FDA. Questions and Answers on the Occurrence of Benzene in Soft Drinks and Other Beverages — FDA
  9. Sechen SJ, FDA Center for Veterinary Medicine (2013). Bovine Somatotropin (bST) – Possible Increased Use of Antibiotics to Treat Mastitis in Cows. Report submitted to the 78th JECFA meeting — FDA report (PDF)
  10. National Toxicology Program. Butylated Hydroxyanisole (BHA). Report on Carcinogens — NTP Report on Carcinogens (PDF)
  11. IARC (1986). Some Naturally Occurring and Synthetic Food Components, Furocoumarins and Ultraviolet Radiation. IARC Monographs Vol. 40 (BHA, Group 2B) — IARC Monograph Vol. 40
  12. Council Decision 1999/879/EC of 17 December 1999 concerning the placing on the market and administration of bovine somatotrophin (BST) — EUR-Lex
  13. Commission Regulation (EU) 2022/63 of 14 January 2022 as regards the food additive titanium dioxide (E 171) — EUR-Lex
  14. Regulation (EC) No 1333/2008 on food additives, Article 24 and Annex V (labelling of six food colours) — EUR-Lex
  15. 7 CFR 205.605, Nonagricultural substances allowed as ingredients in or on processed products labeled as organic — eCFR

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Connections

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Food Additives — scientific infographic poster