Fecal metabolites are being increasingly studied to unravel the host-gut microbial metabolic interactions. However, there are currently no guidelines for fecal sample collection and storage based on a systematic evaluation of the effect of time, storage temperature, storage duration and sampling strategy. Here we derive an optimized protocol for fecal sample handling with the aim of maximizing metabolic stability and minimizing sample degradation. Samples obtained from five healthy individuals were analyzed to assess topographical homogeneity of feces, and to evaluate storage duration-, temperature-and freeze-thaw cycle-induced metabolic changes in crude stool and fecal water using a 1 H NMR spectroscopy-based metabolic profiling approach. Inter-individual variation was much greater than that attributable to storage conditions. Individual stool samples were found to be heterogeneous and spot sampling resulted in a high degree of metabolic variation. Crude fecal samples were remarkably unstable over time and exhibited distinct metabolic profiles at different storage temperatures. Microbial fermentation was the dominant driver in time-related changes observed in fecal samples stored at room temperature and this fermentative process was reduced when stored at 4°C. Crude fecal samples frozen at -20°C manifested elevated amino acids and nicotinate and depleted short chain fatty acids compared to crude fecal control samples. The relative concentrations of branched-chain and aromatic amino acids significantly increased in the freeze-thawed crude fecal samples, suggesting a release of microbial intracellular contents. The metabolic profiles of fecal water samples were more stable compared to crude samples. Our recommendation is that intact fecal samples should be collected, kept at 4°C or on ice during transportation, and extracted ideally within 1 h of collection, or a maximum of 24 h. Fecal water samples should be extracted from a representative amount (~15 g) of homogenized stool sample, aliquoted and stored at < -20°C, avoiding further freeze-thaw cycles.Metabolic profiling of biofluids and tissues generates data on a wide range of metabolites and provides extensive metabolic information on multiple biological processes in complex superorganisms such as mammals. Although urine and blood are often used to investigate systemic responses of animals and humans to various environmental stimuli or therapeutic interventions 1 , the search for disease biomarkers in fecal samples and studies on host-microbial interactions have intensified over the last decade. The human intestinal tract harbors >100 trillion microbial cells 2 and these microbes exert their influences on the human host primarily by metabolic signaling and therefore optimized methodologies for the study of microbial metabolic footprint is crucial to this field. Mounting evidence shows that the microbial composition and its collective metabolic activity profoundly impacts host physiology and modulates the disease risk of the host 3 . To investigate th...