In one embodiment, an ammonium removal method can comprise: removing a multivalent cation from a stream comprising ammonium to form a treated stream; converting the ammonium in the stream to ammonia by increasing the pH of the stream; and separating the ammonia from the treated stream to form a separated stream and gaseous ammonia. In another embodiment, an ammonium removal method can comprise: a multivalent cation from a stream comprising ammonium to form a treated stream comprising a total of less than or equal to about 50 ppm by weight of multivalent cations; increasing the pH of the stream to a conversion pH; converting the ammonium to ammonia; and separating the ammonia from the treated stream to form a separated stream and gaseous ammonia.