The increase could be due to improved nutrition following WW 2, such as better access to food overall and the iodization of salt.
For the decline, my money is on PFAS (https://www.sixclasses.org/videos/PFAS) and organohalogens more generally. Iodine is also a halogen, and all the other halogenated compounds we are pumping in the environment could interfere with iodine metabolism. These compounds are in nearly everything, and we're using ever larger quantities of them.
There is evidence this affects fetal development and cognitive functioning years later (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2799472/), which is also why jurisdictions are banning flame retardants (https://www.tuvsud.com/en/e-ssentials-newsletter/consumer-pr... https://www.sixclasses.org/videos/flame-retardants )